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Open AccessJournal ArticleDOI

The Effects of Regionalization on Cost and Outcome for One General High-Risk Surgical Procedure

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TLDR
An academic medical center, functioning as a high-volume regional provider, can deliver tertiary care services with improved outcomes at lower costs than community hospitals.
Abstract
PurposeThe effects of regionalization of tertiary care were studied by analyzing cost and outcome for pancreaticoduodenectomies in a state in which the majority of these high-risk procedures were performed in one hospital.MethodsUsing Maryland inpatient discharge data via a retrospective study, the

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Multimodal approach to control postoperative pathophysiology and rehabilitation.

TL;DR: While no single technique or drug regimen has been shown to eliminate postoperative morbidity and mortality, multimodal interventions may lead to a major reduction in the undesirable sequelae of surgical injury with improved recovery and reduction in postoperative mortality and overall costs.
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Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes.

TL;DR: This single institution, high-volume experience indicates that pancreaticoduodenectomy can be performed safely for a variety of malignant and benign disorders of the pancreas and periampullary region.
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Is volume related to outcome in health care? A systematic review and methodologic critique of the literature

TL;DR: A systematic review of the research evidence linking volume and outcome in health care is conducted, to summarize and describe the methodologic rigor of the existing literature, and to highlight the research and policy implications of these findings.
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Impact of hospital volume on operative mortality for major cancer surgery.

TL;DR: The hypothesis that when complex surgical oncologic procedures are provided by surgical teams in hospitals with specialty expertise, mortality rates are lower is supported.
Journal ArticleDOI

Resected adenocarcinoma of the pancreas— 616 patients: Results, outcomes, and prognostic indicators

TL;DR: Factors influencing long-term survival after resection in patients with adenocarcinoma of the head, neck, uncinate process, body, or tail of the pancreas are examined to decrease the independent significance of tumor location and nodal status.
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